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COMPLIANCE INFO_2008-2011
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PR0231129
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COMPLIANCE INFO_2008-2011
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Last modified
3/29/2021 4:28:20 PM
Creation date
6/3/2020 9:45:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2011
RECORD_ID
PR0231129
PE
2361
FACILITY_ID
FA0001817
FACILITY_NAME
7-ELEVEN INC #35355
STREET_NUMBER
3202
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
3202 W Hammer Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231129_3202 W HAMMER_2008-2011.tif
Tags
EHD - Public
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• <br />A 4 it IT 101, 4 C <br />P.O. BOX 420807, SAN FRAMISCOCA 94142-0807 <br />INSURANCK <br />FUND m m of ",, compamin• <br />ISSUE DATE: 04-01-2009 GROLP. ##P. <br />CERTIFICATE Kk 299 <br />CERTIFICATE EXPIRES, 04-01-2010r <br />04-01-2008/04-01-2010 <br />Emn <br />This is to certify that we have Issued a valid Workers' Compensation Insurance policy in a form approved by the <br />California insurance Commissioner to the employer named below for the policy period indicated <br />This policy Is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. <br />We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiratiom <br />This certificate of Insurance is not an insurance policy aid does not amend, extend or after the coves afforded <br />by the policy listed heaeirh Notwithsan, <br />requirement, term or condition of my contract or other document <br />with respect to this certificst of once may be WwW or to which it may pertsh the insurance <br />afforded by the policy described herein Is subject to all the terms, exclusions, conditions, of such policy. <br />i. �t <br />i r N T k•` #k t A K. i♦ t $ 9� h i P{ <br />BlOMSEMW /t®00 - JEFF RYAN PUS, SEG TREAS - EXCLUDED. <br />GETTLER-RYAN. IMG ANDIOR GEDSTRATEGIES. VC <br />ANDIOR = PETROUMN SERVICES.INC ANDION W= <br />SERVICES. INC ET AE. <br />0747 SIERRA CT STE J <br />DUSLIN CA OMM <br />MEv.2-051 <br />1111111 -MM <br />PRIMM : 04-15- <br />El <br />
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